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518245

registered interest
date	09/05/2016
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Industrial Health and Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, what steps his Department is taking to support workplace incentives to promote employee health and reduce sickness-related unemployment.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	36846
answer	answer is ministerial correction date of answer 11/05/2016 answer text <p>We plan to publish a Green Paper later this year, which will set out reforms to improve support for people with health conditions and disabilities, including exploring the roles of employers.</p><p> </p><p>Employers are key partners in our ambition to halve the disability employment gap, reduce sick absence and promote employee health.</p><p> </p><p>Support is offered to employers through initiatives such as Access to Work and Disability Confident which help employers to recruit and retain people with a disability.</p><p> </p><p>Public Health England supports local authorities in the provision of a range of resources and services for employers in the area of preventing ill health, including the Workplace Wellbeing Charter.</p> answering member constituency North Swindon answering member printed Justin Tomlinson question first answered 11/05/2016 15:53:35 answering member 4105 label Biography information for Justin Tomlinson
tabling member	44 label Biography information for Sir David Amess

518247

registered interest
date	09/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vitamin D
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many tests for Vitamin D were carried out by pathology laboratories in England in (a) 2015-16, (b) 2014-15 and (c) 2013-14; and what the cost to the NHS was of providing such tests in each of those years.
tabling member constituency	Harrow East
tabling member printed	Bob Blackman
uin	36746
answer	answer is ministerial correction date of answer 11/05/2016 answer text <p>This information is not held centrally. Clinical commissioning groups are responsible for commissioning laboratory testing locally.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 11/05/2016 13:01:40 answering member 3918 label Biography information for Jane Ellison
tabling member	4005 label Biography information for Bob Blackman

518248

registered interest
date	09/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Electronic Cigarettes: Advertising
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the potential effect of restricting advertising on e-cigarettes on people using tobacco products.
tabling member constituency	St Albans
tabling member printed	Mrs Anne Main
uin	36748
answer	answer is ministerial correction date of answer 12/05/2016 answer text <p>The best thing a smoker can do for their health is to quit smoking. We know that there are now over a million people who have completely replaced smoking with e-cigarettes and that the evidence indicates that they are significantly less harmful to health than smoking.</p><p>Whilst the Government recognises the potential benefits of e-cigarettes, the quality of products on the market remains variable. It is right therefore that proportionate regulation is introduced to introduce minimum standards for safety and quality of all e-cigarettes and e-liquids and that information is provided to consumers so that they can make informed choices. This is the aim of the regulatory framework set out in the revised Tobacco Products Directive.</p><p>The Impact Assessment that accompanied the Tobacco and Related Products Regulations 2016 assessed the expected impact of the advertising provisions on demand for e-cigarettes to be insubstantial. There is already a very high awareness of e-cigarettes and their role in replacing tobacco use amongst the public. The restrictions on advertising in certain media do not prevent businesses communicating, factually, directly to individual smokers or ex-smokers about their products, either in physical stores or internet pages under their control.</p><p>The restrictions do not prevent the publication of independently compiled reviews or discussion between users and potential users in internet forums. A balance is therefore struck between reducing exposure of children to imagery and marketing of these products and providing sufficient information to smokers wishing to use these products to support them in quit attempts.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/05/2016 08:38:58 answering member 3918 label Biography information for Jane Ellison
tabling member	1568 label Biography information for Mrs Anne Main

518249

registered interest
date	09/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	HIV Infection: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, for what reasons NHS England is reconsidering its positioning on commissioning pre-exposure prophylaxis for HIV.
tabling member constituency	West Ham
tabling member printed	Lyn Brown
uin	36744
answer	answer is ministerial correction date of answer 12/05/2016 answer text <p>NHS England decided to reconsider its decision in relation to the commissioning of pre-exposure prophylaxis following questions concerning interpretation of powers to commission HIV prevention services being raised by some stakeholders.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/05/2016 08:37:59 answering member 3918 label Biography information for Jane Ellison
tabling member	1583 label Biography information for Ms Lyn Brown

518250

registered interest
date	09/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the potential effect of introducing cell-free DNA testing on the NHS on the number of women choosing to terminate their pregnancies.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	36742
answer	answer is ministerial correction date of answer 11/05/2016 answer text <p>There is a long established Fetal Anomaly Screening Programme (NHS FASP) that prospective parents can choose whether to participate in.</p><p> </p><p>The UK National Screening Committee (UK NSC) has recommended that non-invasive prenatal testing for Down’s syndrome should be introduced as an additional test into the NHS FASP as part of an evaluation. Ministers are currently considering this important recommendation from the UK NSC which would give pregnant women and their partners more accurate information and should reduce the number of women having to undergo unnecessary invasive testing which carries a risk of miscarriage.</p><p> </p><p>The UK NSC recommendation does not change the offer to prospective parents of participating in the programme, nor the options and choices available when testing identifies a fetus with Down’s, Edwards’ or Patau’s syndrome.</p><p> </p><p>Existing guidance from the Royal College of Obstetricians and Gynaecologists already makes it clear that women and their partners should receive appropriate information and support from a properly trained multidisciplinary team, who must adopt a supportive and non-judgemental approach regardless of whether the decision is to terminate or continue the pregnancy. This should include referral to other professional experts (including palliative care) and referral for counselling when this can help, as part of a co-ordinated package of care.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 11/05/2016 15:26:58 answering member 3918 label Biography information for Jane Ellison
tabling member	478 label Biography information for Lord Field of Birkenhead

518252

registered interest
date	09/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many individuals with musculoskeletal conditions have (a) been offered patient education programmes and (b) attended patient education programmes.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	36760
answer	answer is ministerial correction date of answer 12/05/2016 answer text <p>Data concerning the number of individuals who have been offered or who have attended patient education programmes is not collected. The National Institute for Health and Care Excellence (NICE) guidance on osteoarthritis (OA) and rheumatoid arthritis (RA) recommends that patients should be offered patient education programmes, if appropriate. The first annual report of the national clinical audit of rheumatoid and early inflammatory arthritis, published on 22 January 2016, identifies that most services offer prompt educational support.</p><p>Whilst the Department has no specific information in relation to early intervention in musculoskeletal (MSK) conditions reducing work related disability, earlier treatment of RA and OA can help reduce symptoms and improve mobility. The NICE RA Quality Standard specifically recommends that people with suspected RA are assessed in a rheumatology service within three weeks of referral. This is because once an RA diagnosis has been made, patients can be considered for anti-TNF drugs which can significantly reduce progression of disease. The OA Quality Standard states that core treatments for osteoarthritis should include physical activity and exercise, as well as weight loss advice, if appropriate.</p><p>Information concerning the cost to the United Kingdom economy of people with MSK conditions being out of work as a result of their conditions is not collected by the Department, though there are a number of studies that have sought to estimate such costs. The NICE guideline on RA and OA both contain such estimates, with the former stating that the total costs of RA in the UK, including indirect costs and work related disability, have been estimated at between £3.8 billion and £4.75 billion per year, and the latter stating that in 1999-2000, 36 million working days were lost due to OA alone, at an estimated cost of £3.2 billion in lost production. Both sets of NICE guidance can be found at the following links:</p><p><a href="http://www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517" target="_blank">www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517</a></p><p><a href="https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525" target="_blank">https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525</a></p><p>The Government is working to increase employment for people with long-term conditions, such as MSK conditions, in a number of ways. The Work and Health Unit, now located in the Department for Work and Pensions, has been established to lead the drive for improving work and health outcomes for people with health conditions and disabilities, as well as improving prevention and support for people absent from work through ill health and those at risk of leaving the workforce. The Unit will seek to do this by improving integration across healthcare and employment services as well as supporting employers to recruit and retain more disabled people and people with long term health conditions.</p><p>In 2015 the Government launched the Fit for Work scheme which is free and helps employees stay in or return to work. It provides an occupational health assessment and general health and work advice to employees, employers and general practitioners. Fit for Work complements existing occupational health services provided by employers. More information can be found at the following link:</p><p><a href="http://www.gov.uk/government/collections/fit-for-work-guidance" target="_blank">www.gov.uk/government/collections/fit-for-work-guidance</a></p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 36761 36762 36763 36810 question first answered 12/05/2016 08:44:23 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess

518253

registered interest
date	09/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what support his Department provides to people with long-term musculoskeletal conditions in the workplace.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	36762
answer	answer is ministerial correction date of answer 12/05/2016 answer text <p>Data concerning the number of individuals who have been offered or who have attended patient education programmes is not collected. The National Institute for Health and Care Excellence (NICE) guidance on osteoarthritis (OA) and rheumatoid arthritis (RA) recommends that patients should be offered patient education programmes, if appropriate. The first annual report of the national clinical audit of rheumatoid and early inflammatory arthritis, published on 22 January 2016, identifies that most services offer prompt educational support.</p><p>Whilst the Department has no specific information in relation to early intervention in musculoskeletal (MSK) conditions reducing work related disability, earlier treatment of RA and OA can help reduce symptoms and improve mobility. The NICE RA Quality Standard specifically recommends that people with suspected RA are assessed in a rheumatology service within three weeks of referral. This is because once an RA diagnosis has been made, patients can be considered for anti-TNF drugs which can significantly reduce progression of disease. The OA Quality Standard states that core treatments for osteoarthritis should include physical activity and exercise, as well as weight loss advice, if appropriate.</p><p>Information concerning the cost to the United Kingdom economy of people with MSK conditions being out of work as a result of their conditions is not collected by the Department, though there are a number of studies that have sought to estimate such costs. The NICE guideline on RA and OA both contain such estimates, with the former stating that the total costs of RA in the UK, including indirect costs and work related disability, have been estimated at between £3.8 billion and £4.75 billion per year, and the latter stating that in 1999-2000, 36 million working days were lost due to OA alone, at an estimated cost of £3.2 billion in lost production. Both sets of NICE guidance can be found at the following links:</p><p><a href="http://www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517" target="_blank">www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517</a></p><p><a href="https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525" target="_blank">https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525</a></p><p>The Government is working to increase employment for people with long-term conditions, such as MSK conditions, in a number of ways. The Work and Health Unit, now located in the Department for Work and Pensions, has been established to lead the drive for improving work and health outcomes for people with health conditions and disabilities, as well as improving prevention and support for people absent from work through ill health and those at risk of leaving the workforce. The Unit will seek to do this by improving integration across healthcare and employment services as well as supporting employers to recruit and retain more disabled people and people with long term health conditions.</p><p>In 2015 the Government launched the Fit for Work scheme which is free and helps employees stay in or return to work. It provides an occupational health assessment and general health and work advice to employees, employers and general practitioners. Fit for Work complements existing occupational health services provided by employers. More information can be found at the following link:</p><p><a href="http://www.gov.uk/government/collections/fit-for-work-guidance" target="_blank">www.gov.uk/government/collections/fit-for-work-guidance</a></p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 36760 36761 36763 36810 question first answered 12/05/2016 08:44:23 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess

518254

registered interest
date	09/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the cost to the UK economy is of people with musculoskeletal conditions being out of work as a result of their conditions.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	36761
answer	answer is ministerial correction date of answer 12/05/2016 answer text <p>Data concerning the number of individuals who have been offered or who have attended patient education programmes is not collected. The National Institute for Health and Care Excellence (NICE) guidance on osteoarthritis (OA) and rheumatoid arthritis (RA) recommends that patients should be offered patient education programmes, if appropriate. The first annual report of the national clinical audit of rheumatoid and early inflammatory arthritis, published on 22 January 2016, identifies that most services offer prompt educational support.</p><p>Whilst the Department has no specific information in relation to early intervention in musculoskeletal (MSK) conditions reducing work related disability, earlier treatment of RA and OA can help reduce symptoms and improve mobility. The NICE RA Quality Standard specifically recommends that people with suspected RA are assessed in a rheumatology service within three weeks of referral. This is because once an RA diagnosis has been made, patients can be considered for anti-TNF drugs which can significantly reduce progression of disease. The OA Quality Standard states that core treatments for osteoarthritis should include physical activity and exercise, as well as weight loss advice, if appropriate.</p><p>Information concerning the cost to the United Kingdom economy of people with MSK conditions being out of work as a result of their conditions is not collected by the Department, though there are a number of studies that have sought to estimate such costs. The NICE guideline on RA and OA both contain such estimates, with the former stating that the total costs of RA in the UK, including indirect costs and work related disability, have been estimated at between £3.8 billion and £4.75 billion per year, and the latter stating that in 1999-2000, 36 million working days were lost due to OA alone, at an estimated cost of £3.2 billion in lost production. Both sets of NICE guidance can be found at the following links:</p><p><a href="http://www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517" target="_blank">www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517</a></p><p><a href="https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525" target="_blank">https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525</a></p><p>The Government is working to increase employment for people with long-term conditions, such as MSK conditions, in a number of ways. The Work and Health Unit, now located in the Department for Work and Pensions, has been established to lead the drive for improving work and health outcomes for people with health conditions and disabilities, as well as improving prevention and support for people absent from work through ill health and those at risk of leaving the workforce. The Unit will seek to do this by improving integration across healthcare and employment services as well as supporting employers to recruit and retain more disabled people and people with long term health conditions.</p><p>In 2015 the Government launched the Fit for Work scheme which is free and helps employees stay in or return to work. It provides an occupational health assessment and general health and work advice to employees, employers and general practitioners. Fit for Work complements existing occupational health services provided by employers. More information can be found at the following link:</p><p><a href="http://www.gov.uk/government/collections/fit-for-work-guidance" target="_blank">www.gov.uk/government/collections/fit-for-work-guidance</a></p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 36760 36762 36763 36810 question first answered 12/05/2016 08:44:23 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess

518255

registered interest
date	09/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of how the Government, as a public sector employer and commissioner, can increase employment for people with long-term musculoskeletal conditions.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	36763
answer	answer is ministerial correction date of answer 12/05/2016 answer text <p>Data concerning the number of individuals who have been offered or who have attended patient education programmes is not collected. The National Institute for Health and Care Excellence (NICE) guidance on osteoarthritis (OA) and rheumatoid arthritis (RA) recommends that patients should be offered patient education programmes, if appropriate. The first annual report of the national clinical audit of rheumatoid and early inflammatory arthritis, published on 22 January 2016, identifies that most services offer prompt educational support.</p><p>Whilst the Department has no specific information in relation to early intervention in musculoskeletal (MSK) conditions reducing work related disability, earlier treatment of RA and OA can help reduce symptoms and improve mobility. The NICE RA Quality Standard specifically recommends that people with suspected RA are assessed in a rheumatology service within three weeks of referral. This is because once an RA diagnosis has been made, patients can be considered for anti-TNF drugs which can significantly reduce progression of disease. The OA Quality Standard states that core treatments for osteoarthritis should include physical activity and exercise, as well as weight loss advice, if appropriate.</p><p>Information concerning the cost to the United Kingdom economy of people with MSK conditions being out of work as a result of their conditions is not collected by the Department, though there are a number of studies that have sought to estimate such costs. The NICE guideline on RA and OA both contain such estimates, with the former stating that the total costs of RA in the UK, including indirect costs and work related disability, have been estimated at between £3.8 billion and £4.75 billion per year, and the latter stating that in 1999-2000, 36 million working days were lost due to OA alone, at an estimated cost of £3.2 billion in lost production. Both sets of NICE guidance can be found at the following links:</p><p><a href="http://www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517" target="_blank">www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517</a></p><p><a href="https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525" target="_blank">https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525</a></p><p>The Government is working to increase employment for people with long-term conditions, such as MSK conditions, in a number of ways. The Work and Health Unit, now located in the Department for Work and Pensions, has been established to lead the drive for improving work and health outcomes for people with health conditions and disabilities, as well as improving prevention and support for people absent from work through ill health and those at risk of leaving the workforce. The Unit will seek to do this by improving integration across healthcare and employment services as well as supporting employers to recruit and retain more disabled people and people with long term health conditions.</p><p>In 2015 the Government launched the Fit for Work scheme which is free and helps employees stay in or return to work. It provides an occupational health assessment and general health and work advice to employees, employers and general practitioners. Fit for Work complements existing occupational health services provided by employers. More information can be found at the following link:</p><p><a href="http://www.gov.uk/government/collections/fit-for-work-guidance" target="_blank">www.gov.uk/government/collections/fit-for-work-guidance</a></p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 36760 36761 36762 36810 question first answered 12/05/2016 08:44:23 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess

518267

registered interest
date	09/05/2016
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Refugees: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for the Home Department, what steps the Government is taking to encourage other countries to accept unaccompanied refugee children in Europe.
tabling member constituency	Romford
tabling member printed	Andrew Rosindell
uin	36927
answer	answer is ministerial correction date of answer 12/05/2016 answer text <p>The government is at the forefront of assisting and protecting vulnerable children, wherever they are. Children in Europe are mostly already able to access support from countries that have similar legal obligations to our own.</p><p>The UK has been playing its full part in supporting European neighbours to provide support to those who have arrived. We have provided nearly £46 million of funding to the Europe wide response to help the most vulnerable, including children and infants.</p><p>In addition the £10 million the Department for International Development fund announced on 28 January will support UNHCR, Save the Children and International Rescue Committee to work with host authorities to care and assist unaccompanied or separated children.</p><p>This is in addition to resettling those from conflict regions through our Syrian Resettlement Programme and Children at Risk Resettlement Scheme. The UK is playing a leading role in the resettlement of the most vulnerable and supports other EU Member States in establishing and developing their resettlement schemes, through bilateral and multinational discussions.</p> answering member constituency Old Bexley and Sidcup answering member printed James Brokenshire question first answered 12/05/2016 09:34:22 answering member 1530 label Biography information for James Brokenshire
tabling member	1447 label Biography information for Andrew Rosindell